A new type of hydrocelectomy under trans-interfascial plane surgical technique: 15 cases of experience
10.3969/j.issn.1009-8291.2024.04.014
- VernacularTitle:层面外科理念下的一种全新的睾丸鞘膜翻转切除术15例经验
- Author:
Sicheng WANG
1
;
Bin JIA
1
;
Tiwu FAN
1
Author Information
1. Department of Urology, Heping Hospital Affiliated to Changzhi Medical College, Changzhi 046000, China
- Publication Type:Journal Article
- Keywords:
testicular hydrocele;
hydrocelectomy;
testis;
internal spermatic fascia;
trans-interfascial plane surgery
- From:
Journal of Modern Urology
2024;29(4):359-362
- CountryChina
- Language:Chinese
-
Abstract:
【Objective】 A new type of testicular hydrocele reversal resection is described under the concept of trans-interfascial plane surgery, in order to improves the understanding of the anatomical level of testicular hydrocele surgery and to optimize the surgical approach. 【Methods】 During Jan. and June 2021, 15 patients with primary testicular hydrocele were treated with hydrocelectomy and gubernaculum preservation.Demographic information, indications of treatment, success rate and complications were collected.The anatomical structures were analyzed using intraoperative findings and photographs. 【Results】 All operations of 15 patients were successful, with the surgery time of 25-48 minutes, with an average of (34.0±6.2) minutes.No patients experienced scrotal hematoma or incision infection.There were no relapses during the 3-month follow-up after surgery.The anatomical points observed during surgery were as follows: we further confirmed that the internal spermatic fascia completely surrounded the testis, epididymis, and the spermatic cord; this layer was an avascular plane, the cremaster muscle and fascial layer between the internal and external spermatic fasciae were absent; intraoperative preservation of the gubernaculum helped to fix the testicles in its natural position. 【Conclusion】 Our novel technique of hydrocelectomy is reliable, and the precise anatomical description of the concept of trans-interfascial plane surgery can help to improve the related surgical techniques.
